Association of COVID-19 pandemic societal closures with gestational weight gain among women in South Carolina, 2018–2021

Tori, Marco E.; Gosdin, Lucas; Shih, Yiwen; Hung, Peiyin; Li, Xiaoming; Liu, Jihong

doi:10.1016/j.annepidem.2024.02.002

Annals of Epidemiology

2024

DOI: 10.1016/j.annepidem.2024.02.002

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Association of COVID-19 pandemic societal closures with gestational weight gain among women in South Carolina, 2018–2021

Marco E. Tori,

Lucas Gosdin,

Yiwen Shih

et al.

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2024

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Cited by 2 publications

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Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity

Kracht,

Harville,

Cohen

et al. 2024

Obesity

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ObjectiveThis study of pregnant people with obesity examined two aims in testing the hypothesis that the COVID‐19 pandemic widened racial disparity in maternal health in high‐risk pregnancies; it compared by race both (1) gestational weight gain (GWG) patterns and (2) patterns of preexisting conditions and adverse pregnancy outcomes.MethodsThis retrospective chart review included birth certificate and delivery records from a large women's specialty hospital in Louisiana between 2018 and 2022. Differences in preexisting conditions, GWG, and adverse pregnancy outcomes were explored across early‐, peak‐, and late‐pandemic periods using log‐linear regression and robust Poisson models.ResultsAmong 7431 deliveries (54% Black), Black pregnant people had higher rates of preexisting type 2 diabetes and chronic hypertension but lower rates of gestational diabetes and preeclampsia compared to White pregnant people across all periods. Black individuals had higher prepregnancy weight and lower GWG compared to White individuals across all periods. GWG differences were not significant in peak‐ and late‐pandemic periods.ConclusionsBlack individuals with obesity started pregnancy with higher weight and more preexisting conditions but had lower GWG compared to White individuals. Exacerbated disparities in preexisting conditions demonstrate higher health risks for Black individuals during pregnancy.

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Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity

Kracht,

Harville,

Cohen

et al. 2024

Obesity

View full text Add to dashboard Cite

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The early COVID-19 pandemic period and associated gestational weight gain

Madein,

Lundsberg,

Culhane

et al. 2024

Journal of Perinatal Medicine

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Objectives The aim of this study was to investigate if gestational weight gain was altered during the early COVID-19 pandemic period. Methods This a retrospective cohort study evaluating gestational weight gain among individuals delivering during the early COVID-19 pandemic epoch (March 10–December 31, 2020) compared to temporally matched pre-pandemic (matched months in 2018 and 2019) controls using electronic medical record data from a large tertiary care hospital. The primary outcome was gestational weight gain defined as a categorical measure representing below, meeting, or above Institute of Medicine (IOM) criteria with further adjustment for gestational age at delivery. The early-pandemic exposure group was also categorized by gestational age at the start period (<14 weeks’ and 14–20 weeks’) to assess if duration of exposure affected gestational weight gain risks with the use of multinominal logistic regression. Results Among 5,377 individuals 3,619 (67.3 %) and 1,758 (32.7 %) were in the pre and early pandemic epochs respectively. Overall, 934 (17.4 %) individuals gained below recommended, 1,280 (23.8 %) met recommendations, and 3,163 (58.8 %) gained above IOM recommended gestational weight gain. Compared to the pre-pandemic epoch, the early pandemic period was not associated with weight gain below (OR 1.06, 95 % Cl 0.89–1.27) or above (OR 1.03, 95 % Cl 0.89–1.19) IOM recommendations. This was also true when the early pandemic group was stratified based on gestational age at the start of the early pandemic period (<14 weeks’ and 14–20 weeks’). Conclusions This study demonstrated no significant difference in maternal weight gain between pre and early COVID-19 pandemic periods.

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Association of COVID-19 pandemic societal closures with gestational weight gain among women in South Carolina, 2018–2021

Cited by 2 publications

References 25 publications

Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity

Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity

The early COVID-19 pandemic period and associated gestational weight gain

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